BHACA Blast #18

Dear BHACA Community,

BHACA Blast #18 Headlines:

*   Upcoming BHACA Event: “Behavioral Health Screening in Primary Care Settings”

Date & Time: Friday, September 19, 2014, 2 p.m. to 4:30 p.m.

Presented by: Stacy Ogbeide, PsyD, a Behavioral Health Consultant with Healthcare for the Homeless – Houston.

Registration: www.mhahouston.org/events/257/<https://cts.vrmailer1.com/click?sk=aeocB2JgCjBJTe6NQAP0F5Cz8rrxvGe15DT36dpuHB1s=/aHR0cDovL3d3dy5taGFob3VzdG9uLm9yZy9ldmVudHMvMjU3Lw==/9s6FHf5l7nVtULVMQpzmRw==&merge_field_type=(?x-mi:(?%3C=href=)%5b’%22%5d(?%3Curl%3E%5b%5E%7B’%22%5d.+?)%5b’%22%5d)> by Wednesday,

September 17th.

*   This week’s featured outcome measure is the ANSA, The Adults Needs and Strengths Assessment<https://cts.vrmailer1.com/click?sk=aeocB2JgCjBJTe6NQAP0F5Cz8rrxvGe15DT36dpuHB1s=/aHR0cHM6Ly93d3cuZHNocy5zdGF0ZS50eC51cy9taHNhL3Ryci9hbnNhLw==/ZFodqWlq4XWrTzVKgeq2Hg==&merge_field_type=(?x-mi:(?%3C=href=)%5b’%22%5d(?%3Curl%3E%5b%5E%7B’%22%5d.+?)%5b’%22%5d)>. Find more information below in the Outcome-Based Evaluation section.

All best,

The BHACA Team

Marion Coleman, NBHP Executive Director
Alejandra Posada, MHA IHC Project Director
Elizabeth Reed, Assistant Project Manager
Jessica Cohen, Evaluation Specialist 

Integrated Health Care (IHC)

*   Archived Webinar from Center for Integrated Health Solutions (CIHS) – Making Apps and Web-based Tools Part of Your Integrated Behavioral Health Team – To access the archived recording and slides, please go to http://www.integration.samhsa.gov/<https://cts.vrmailer1.com/click?sk=aeocB2JgCjBJTe6NQAP0F5Cz8rrxvGe15DT36dpuHB1s=/aHR0cDovL3d3dy5pbnRlZ3JhdGlvbi5zYW1oc2EuZ292Lw==/exBl_Gi5urWskfU_I203Jw==&merge_field_type=(?x-mi:(?%3C=href=)%5b’%22%5d(?%3Curl%3E%5b%5E%7B’%22%5d.+?)%5b’%22%5d)> and scroll down to “Webinars.”

 *   August Edition of the AIMS Center “Collaborations” Newsletter – highlighting the role of consulting psychiatrists – The August edition of the AIM Center’s e-newsletter is now available – click here<https://cts.vrmailer1.com/click?sk=aeocB2JgCjBJTe6NQAP0F5Cz8rrxvGe15DT36dpuHB1s=/aHR0cDovL3VzMi5jYW1wYWlnbi1hcmNoaXZlMi5jb20vP3U9NTcyYTBkZmNhZmY2ZThhMzViZTBmZmI1YyZhbXA7aWQ9MzQxOTZhNGFkMyZhbXA7ZT1hOTljNzAzNjJl/J8aA-mPtJq0252KHgYXpwg==&merge_field_type=(?x-mi:(?%3C=href=)%5b’%22%5d(?%3Curl%3E%5b%5E%7B’%22%5d.+?)%5b’%22%5d)>.

Note – We will also be discussing the consulting psychiatry model at the September 19 event, and, if the interest is there, we will explore how we might implement this model in our community. Click here<https://cts.vrmailer1.com/click?sk=aeocB2JgCjBJTe6NQAP0F5Cz8rrxvGe15DT36dpuHB1s=/aHR0cDovL3d3dy5taGFob3VzdG9uLm9yZy9ldmVudHMvMjU3Lw==/9s6FHf5l7nVtULVMQpzmRw==&merge_field_type=(?x-mi:(?%3C=href=)%5b’%22%5d(?%3Curl%3E%5b%5E%7B’%22%5d.+?)%5b’%22%5d)> for September 19 event info.

*   New Online Course – Introduction to SBIRT for Adolescents – The Institute for Research, Education, and Training in Addictions (IRETA) has recently released this free course (including CEUs!) available at IRETA online<https://cts.vrmailer1.com/click?sk=aeocB2JgCjBJTe6NQAP0F5Cz8rrxvGe15DT36dpuHB1s=/aHR0cDovL2lyZXRhLm9yZy9hZG9sZXNjZW50c2JpcnRjb3Vyc2U_dXRtX3NvdXJjZT1pQ29udGFjdCZhbXA7dXRtX21lZGl1bT1lbWFpbCZhbXA7dXRtX2NhbXBhaWduPUlSRVRBJmFtcDt1dG1fY29udGVudD0=/j7Py_w6whKwoA3zI3m3zgg==&merge_field_type=(?x-mi:(?%3C=href=)%5b’%22%5d(?%3Curl%3E%5b%5E%7B’%22%5d.+?)%5b’%22%5d)>. (As well: A blog entry by SAMHSA reinforcing the value of SBIRT can be found here<https://cts.vrmailer1.com/click?sk=aeocB2JgCjBJTe6NQAP0F5Cz8rrxvGe15DT36dpuHB1s=/aHR0cDovL2Jsb2cuc2FtaHNhLmdvdi8yMDE0LzA4LzA4L3NjcmVlbmluZy1icmllZi1pbnRlcnZlbnRpb24tYW5kLXJlZmVycmFsLXRvLXRyZWF0bWVudC8jLlVfMEtmMmQzdU04/wL1o7wjZ9N7ASl0spsT_UA==&merge_field_type=(?x-mi:(?%3C=href=)%5b’%22%5d(?%3Curl%3E%5b%5E%7B’%22%5d.+?)%5b’%22%5d)>.)

Certified Electronic Health Record

*   White Paper – The Current State of Sharing Behavioral Health Information in Health Information Exchanges – Of note, CMBHS is profiled as a case study on page 21. To access, please go to http://www.integration.samhsa.gov/operations-administration/HIE_paper_FINAL.pdf/<https://cts.vrmailer1.com/click?sk=aeocB2JgCjBJTe6NQAP0F5Cz8rrxvGe15DT36dpuHB1s=/aHR0cDovL3d3dy5pbnRlZ3JhdGlvbi5zYW1oc2EuZ292L29wZXJhdGlvbnMtYWRtaW5pc3RyYXRpb24vSElFX3BhcGVyX0ZJTkFMLnBkZi8=/2CJtq8ovDBu7H3HWRm2aKg==&merge_field_type=(?x-mi:(?%3C=href=)%5b’%22%5d(?%3Curl%3E%5b%5E%7B’%22%5d.+?)%5b’%22%5d)>.

*   Webinar: Assessing the Impact of Health Information Technology Initiatives in Health Care (by the HPOE – Hospitals in Pursuit of Excellence)

Date & Time: Wednesday, September 10, 2014, 10:00 a.m. CST To register: Click here<https://cts.vrmailer1.com/click?sk=aeocB2JgCjBJTe6NQAP0F5Cz8rrxvGe15DT36dpuHB1s=/aHR0cDovL3d3dy5ocG9lLm9yZy9yZXNvdXJjZXMvaHBvZS1saXZlLXdlYmluYXJzLzE2NjQ=/1iMKH13Tbb-xerXCpkKijQ==&merge_field_type=(?x-mi:(?%3C=href=)%5b’%22%5d(?%3Curl%3E%5b%5E%7B’%22%5d.+?)%5b’%22%5d)>

*   Webinar: Health IT Safety: Progress Made and Challenges Ahead

Date & Time: Friday, September 19, 2014, 12:00 p.m. to 1:00 p.m.

To register: https://attendee.gotowebinar.com/register/3493278544409102593<https://cts.vrmailer1.com/click?sk=aeocB2JgCjBJTe6NQAP0F5Cz8rrxvGe15DT36dpuHB1s=/aHR0cHM6Ly9hdHRlbmRlZS5nb3Rvd2ViaW5hci5jb20vcmVnaXN0ZXIvMzQ5MzI3ODU0NDQwOTEwMjU5Mw==/La1pBIvYtmXl5RxslMqnHQ==&merge_field_type=(?x-mi:(?%3C=href=)%5b’%22%5d(?%3Curl%3E%5b%5E%7B’%22%5d.+?)%5b’%22%5d)>

Description: It has been one year since the ONC Health IT Safety Action and Surveillance Plan published. The plan promotes using health IT to improve the safety of healthcare and the safe use of health IT. Please join us for a webinar to review significant work in health IT safety this past year. Attendees of this webinar will learn how EHRs are making a positive impact of the quality and safety of patient care and understand the type of health IT related safety events and available interventions to prevent their occurrence.

Maximizing Third Party Funding Streams – Insurance Credentialing and Billing & Coding Resouces

*   A great report that shows a model of payment reform post ACA, as it applies here to patient-centered medical homes (PCMHs), but potentially as it could be replicated for other payment reform agendas: Aligning Payers and Practices to Transform Primary Care: A Report from the Multi-State Collaborative – The Milbank Memorial Fund recently released this report which describes the work of 17 states over the last 5 years in using payment reform to help move primary care towards the patient-centered medical home model. You may access PDFs of the Executive Summary as well as of the full report at http://www.milbank.org/publications/milbank-reports<https://cts.vrmailer1.com/click?sk=aeocB2JgCjBJTe6NQAP0F5Cz8rrxvGe15DT36dpuHB1s=/aHR0cDovL3d3dy5taWxiYW5rLm9yZy9wdWJsaWNhdGlvbnMvbWlsYmFuay1yZXBvcnRz/2_nitalSApaDUGrNgURhmg==&merge_field_type=(?x-mi:(?%3C=href=)%5b’%22%5d(?%3Curl%3E%5b%5E%7B’%22%5d.+?)%5b’%22%5d)>.

Outcome-Based Evaluation

 

*   BHACA Blast #18: Featured Outcome Metric – ANSA – The Adult Needs and Strengths Assessment<https://cts.vrmailer1.com/click?sk=aeocB2JgCjBJTe6NQAP0F5Cz8rrxvGe15DT36dpuHB1s=/aHR0cHM6Ly93d3cuZHNocy5zdGF0ZS50eC51cy9taHNhL3Ryci9hbnNhLw==/ZFodqWlq4XWrTzVKgeq2Hg==&merge_field_type=(?x-mi:(?%3C=href=)%5b’%22%5d(?%3Curl%3E%5b%5E%7B’%22%5d.+?)%5b’%22%5d)>

      *   What is the ANSA?

       *   The Adults Needs and Strengths Assessment (ANSA) is a multi-purpose tool developed to support care planning and level of care decision-making, to facilitate quality improvement initiatives, and to allow for the monitoring of outcomes of services. The ANSA assessment tool is designed to provide a profile of the needs and strengths of the individual and family. It was developed from a communication perspective so as to facilitate the linkage between the assessment process and the design of individualized service plans including the application of evidence-based practices.

     *   What does it measure?

       *   The ANSA works in a way that each item suggests different pathways for service planning. There are eight dimensions of needs and strengths that are measured, and they include:

           *   Risk Behaviors
           *   Behavioral Health Needs
           *   Life Domain Functioning
           *   Family/Caregiver Strengths and Needs
           *   Strengths
           *   Culture
           *   Psychiatric Hospitalization
           *   Crisis History

       *   When the ANSA is administered, each of the dimensions is rated on its own 4-point scale after the initial intake interview.

       *   Particular questions that receive a high rating within the Risk Behaviors, Behavioral Health Needs and Life Domain Functioning categories will lead to an extension module that will further evaluate the individual and their needs.

     *   For which populations/age(s) is the ANSA appropriate?

        *   The ANSA is for adults 18 years of age and older. 

     *   How is it administered?

        *   The care coordinator or other service provider should read the anchor descriptions for each dimension then record the appropriate rating on the ANSA assessment form. (Note: If you are using the ANSA as part of a mandate from a Texas state agency, certification is required to perform the ANSA. See training and certification dates on the Texas Centralized Training website<https://cts.vrmailer1.com/click?sk=aeocB2JgCjBJTe6NQAP0F5Cz8rrxvGe15DT36dpuHB1s=/aHR0cDovL3BhdHJpb3QudXRoc2NzYS5lZHUvY3R0ZXN0aW5nLw==/qplR3DchZ_qqA7VP9E3G2A==&merge_field_type=(?x-mi:(?%3C=href=)%5b’%22%5d(?%3Curl%3E%5b%5E%7B’%22%5d.+?)%5b’%22%5d)>.)

     *   Tell me more about the ANSA in Texas?

        *   The ANSA actually replaced the TRAG for assessing needs, strengths, and level of care beginning September 1, 2013, as part of the Texas Resilience and Recovery (TRR)<https://cts.vrmailer1.com/click?sk=aeocB2JgCjBJTe6NQAP0F5Cz8rrxvGe15DT36dpuHB1s=/aHR0cHM6Ly93d3cuZHNocy5zdGF0ZS50eC51cy9taHNhL3Ryci9hbnNhLw==/ZFodqWlq4XWrTzVKgeq2Hg==&merge_field_type=(?x-mi:(?%3C=href=)%5b’%22%5d(?%3Curl%3E%5b%5E%7B’%22%5d.+?)%5b’%22%5d)> division of the Mental Health and Substance Abuse Division (MHSA) of the Department of State Health Services (DSHS).

      *   A note about BHACA’s Featured Outcome Measures

        *   Our intention is to expand awareness of and knowledge about existing outcome measures within the BHACA community. In featuring a measure, we do not mean to endorse it as the right fit for your practice, because the appropriateness of a measure for any one behavioral health practice must be evaluated with that specific practice in mind. We hope you enjoy our featured outcome measures section!

​*   Create a “Culture of Evaluation”: An approach that gets all staff enthused about collecting good information and making data-based improvements. Here are some ways to go about that:

      *   Involve all appropriate staff in the development of evaluation
     *   Have staff regularly review, discuss, and act on evaluation findings
     *   Board members and top leadership must own and act on the evaluation findings
     *   Click here <https://cts.vrmailer1.com/click?sk=aeocB2JgCjBJTe6NQAP0F5Cz8rrxvGe15DT36dpuHB1s=/aHR0cDovL3d3dy5maWVsZHN0b25lYWxsaWFuY2Uub3JnL2NsaWVudC90b29sc195b3VfY2FuX3VzZS8wNi0yMC0wN19ldmFsdWF0aW9uX2N1bHR1cmUuY2Zt/6cZbvbWDOuPjbeZ6OeMTgA==&merge_field_type=(?x-mi:(?%3C=href=)%5b’%22%5d(?%3Curl%3E%5b%5E%7B’%22%5d.+?)%5b’%22%5d)> for more information

Additional Items of General Interest

*   From the Texas Behavioral Health Institute Conference in mid-July, many handouts and PowerPoints have been uploaded, which can be accessed here<https://cts.vrmailer1.com/click?sk=aeocB2JgCjBJTe6NQAP0F5Cz8rrxvGe15DT36dpuHB1s=/aHR0cDovL3d3dy50ZXhpbnN0aXR1dGUuY29tLw==/UazSLEUCMwzFYHDnRYp8_w==&merge_field_type=(?x-mi:(?%3C=href=)%5b’%22%5d(?%3Curl%3E%5b%5E%7B’%22%5d.+?)%5b’%22%5d)>.

About BHACA: The Behavioral Health Affordable Care Act (BHACA) Initiative is a major grant-funded collaborative endeavor of the Network of Behavioral Health Providers (NBHP) and Mental Health America of Greater Houston (MHA) designed to support Greater Houston area behavioral health providers in the adjustment to the Patient Protection and Affordable Care Act across four domains: (1) enhancing and increasing the delivery of integrated health care (IHC) in Greater Houston, (2) maximizing third party funding streams revenue, (3) adopting certified electronic health record (EHR) systems, and (4) developing outcome-based evaluations. The BHACA Initiative is generously funded by Houston Endowment Inc., The Meadows Foundation and United Way of Greater Houston Community Response Fund.

The Network of Behavioral Health Providers & Mental Health America of Greater Houston
2211 Norfolk, Suite 810, Houston, Texas 77098

RHP2 Readmission Collaborative Learning Session 3 – 08-15-2014

Sir/Ma’am,

Attached are the RHP2 Readmission Collaborative learning session minutes and PowerPoint for your info. As a reminder, the RHP-2 Readmission Collaborative anchor is here to assist you with Performance Logic (PL) access, process improvements methodologies and tools. The Anchor will also publish the minutes and presentations in PL, request all teams continue bi-weekly calls through September, then quarterly. The next conference call status  update is scheduled on September 9th at 10:00am CST. Please let me know if you have any questions and thanks for those Collaborative members that participated in Learning Session 3.  

Attachments (Click on each attachment noted below):
TOC – Presentations DY3 2014-08-13-Alison2
Care Transition Final
Christus-Disease Management Clinic_2014 08
EPN Presentation DY3 2014-08-13-Alison
GCC Telemed-Crisis Respite Story Board for Readmission…
PL Demo
Project C – Dr Sharma
Readmission_REAL_20140815
RHP2 Readmissions Collaborative Learning Session 3 – Minutes
Stevens Readmission Collaborative 8-2014
08-15-14 Learning Collab Next Steps msk
BHSET_UTMB Learning Collaborative Presentation_08.15.14
CARE Team Storyboard for Session 3 15_Aug-2014v2

Respectfully,  Fred
Fernando A. Lopez, BSIT, MHSM
Quality Management Specialist
P 409.747.3213 RSH 3.038G
Visit us at: Visit us at: Quality & Healthcare  Safety Website

RHP2 – Behavioral Health Learning Collaborative Status Call – 08-19-14

On August 19, 2014 a recurring Behavioral Health Learning Collaborative Status call was held. Attached [call notes] from this meeting.

Susan Seidensticker, BSIE, MSHAI, CPHQ, CSSBB, PMP
Director, Waiver Quality Operations
University of Texas Medical Branch (UTMB)
Shearn Moody, 9th Floor
409-766-4041

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About

Region 2 is operating multiple Learning Collaboratives.  Membership is open to all performing providers in the region, as well as other interested stakeholders who would like to participate.  The collaboratives strive to be transparent, and encourage broad-based participation in an effort to foster an active learning environment within the 16-county region.  The initial topics focus on Preventable 30-Day Readmissions and Behavioral Health.

Permanent link to this article: http://blogs.utmb.edu/dsripcollaboratives/

BHACA Blast #18

Dear BHACA Community, BHACA Blast #18 Headlines: *   Upcoming BHACA Event: “Behavioral Health Screening in Primary Care Settings” Date & Time: Friday, September 19, 2014, 2 p.m. to 4:30 p.m. Presented by: Stacy Ogbeide, PsyD, a Behavioral Health Consultant with Healthcare for the Homeless – Houston. Registration: www.mhahouston.org/events/257/<https://cts.vrmailer1.com/click?sk=aeocB2JgCjBJTe6NQAP0F5Cz8rrxvGe15DT36dpuHB1s=/aHR0cDovL3d3dy5taGFob3VzdG9uLm9yZy9ldmVudHMvMjU3Lw==/9s6FHf5l7nVtULVMQpzmRw==&merge_field_type=(?x-mi:(?%3C=href=)%5b’%22%5d(?%3Curl%3E%5b%5E%7B’%22%5d.+?)%5b’%22%5d)> by Wednesday, September 17th. *   This week’s …

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RHP2 Readmission Collaborative Learning Session 3 – 08-15-2014

Sir/Ma’am, Attached are the RHP2 Readmission Collaborative learning session minutes and PowerPoint for your info. As a reminder, the RHP-2 Readmission Collaborative anchor is here to assist you with Performance Logic (PL) access, process improvements methodologies and tools. The Anchor will also publish the minutes and presentations in PL, request all teams continue bi-weekly calls …

Read more